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College Admission American Nurses Credentialing Center: Adult Psychiatric-Mental Health Nurse Practitioner-Board Certified Sample Questions (Q171-Q176):

NEW QUESTION # 171
Delirium is known to be associated with high mortality and morbidity. Delirium is presenting more and more in the emergency room setting and is often mistaken for a psychotic emergency or event. As a nurse practitioner, you will be responsible for assessing individuals for psychosis versus delirium.
Which of the following mnemonics is correct for assessing for delirium?

Answer: C

Explanation:
* D = Drugs
* E = Electrolyte abnormality
* L = Low oxygen saturation
* I = Infection
* R = Reduced sensory input
* I = Intracranial
* U = Urinary or renal retention
* M = Myocardial
The other options are not correct mnemonics for assessing delirium.


NEW QUESTION # 172
A PMHNP works in a facility where a patient has requested voluntary commitment. What is the most essential aspect to consider when determining the patient's rights during voluntary commitment?

Answer: C

Explanation:
When patients request voluntary commitment in a state, the most important aspect to consider when determining their rights is their ability to make informed decisions. This means that the PMHNP should assess the patient's capacity to understand the consequences of their decision to commit themselves and to make an informed decision based on that understanding. The PMHNP should also consider the patient's level of mental distress, current living situation, and history of past commitments. Still, the ability to make an informed decision is the most crucial aspect to consider.
The right to make informed decisions is important to the patient's autonomy and self-determination. PMHNPs should prioritize this aspect when working with patients requesting voluntary commitment. If the PMHNP determines that the patient cannot make an informed decision, alternative treatment options should be considered to help ensure the patient's safety and well-being.


NEW QUESTION # 173
Which statement accurately defines internal validity?

Answer: C

Explanation:
Internal validity occurs when the independent variable causes a change in the dependent variable. External validity occurs when the sample is representative of the population and the results can be generalized.
Probability is the likelihood of an event occurring. Variance describes how the values are dispersed around the mean.


NEW QUESTION # 174
In family systems therapy, what is the term for parents transmitting their level of differentiation to the most susceptible child?

Answer: A

Explanation:
In family systems therapy, the family projection process refers to parents transmitting their level of differentiation to the most susceptible child.
The projection process follows three steps:
1. The parent focuses on a child out of fear that something is wrong with the child;
2. The parent interprets the child's behavior as confirming the fear; and
3. The parent treats the child as if something is really wrong with them.
In a nuclear family emotional system, the level of differentiation of the parents is usually equal to the level of differentiation for the entire family. The multitransmission process refers to family dysfunction that is present in several generations. Triangles are groups of three family members that form to decrease stress. The presence of triangles indicates a lower level of family adaptation.


NEW QUESTION # 175
Which statement most accurately describes an individual with antisocial personality disorder?

Answer: A

Explanation:
Patients with antisocial personality disorder exhibit criminal behavior beginning in childhood, such as truancy, fighting, destructiveness, and theft. They often default on debts, behave irresponsibly, and act recklessly. They show no remorse for their behavior.
Patients with schizoid personality disorder care little for social relationships, have a restricted emotional range, and appear indifferent to criticism or praise.
Patients with borderline personality disorder exhibit impulsivity, self-harm, inappropriate anger, and affective instability. They feel empty and bored, and they frantically try to avoid abandonment.
Patients with avoidant personality disorder are timid and easily wounded by criticism from others. They fear embarrassment and hesitate to form interpersonal relationships.


NEW QUESTION # 176
......

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